2005年全国8～10岁儿童甲状腺肿大率监测结果分析  

Analysis on the outcome of a surveillance on the total goiter rate of children aged 8 - 10 years old in China in 2005

作　　者：于钧[1] 刘守军[1] 苏晓辉[1] 张树彬[1] 叶永祥[1] 

机构地区：[1]哈尔滨医科大学中国疾病预防控制中心地方病控制中心碘缺乏病防治研究所,150081

出　　处：《中国地方病学杂志》2008年第1期71-73,共3页Chinese Jouranl of Endemiology

基　　金：卫生部疾控司委托课题（2005）

摘　　要：目的了解全国碘缺乏病病情现状，评估全国及各省（区、市）消除碘缺乏病工作的进展情况。方法以省为单位在全国31个省（区、市）及新疆生产建设兵团，按人口比例概率抽样方法（PPS）进行抽样后，再用单纯随机抽样方法选择小学校及学校中的8～10岁儿童，采用触诊法和B超法检测被抽中儿童甲状腺．用EpiInfo2002软件对结果进行汇总分析。结果全国8～10岁儿童触诊甲状腺肿大率（简称甲肿率）为5．0％，B超法甲肿率为4．0％。触诊法和B超法甲肿率都在5．0％以下的省份有北京、天津、河北、山西、辽宁、吉林、上海、江苏、安徽、山东、河南、广西、贵州和宁夏；触诊法和B超法甲肿率都在10．0％以上的省份是甘肃和新疆；其余省份的甲肿率在5．0％～10．0％。结论我国碘缺乏病防治工作已取得显著成效，大多数省份的碘缺乏病病情已得到有效控制．但新疆、甘肃等省份的碘缺乏病防治工作还需要进一步加强。Objective To monitor the status of iodine deficiency disorders （IDD） and to assess the progress of eliminating IDD in China. Methods In 31 provinces and Xinjiang Production and Construction Corps, and then children aged 8 ～ 10 in elementary schools were selected using proportional population sampling （PPS） by simple random sampling methods. Palpation and B-Ultrasonography methods were used to exam their thyroids, and Epi Info 2002 software was used to analyze the results. Results Based on the results of palpation, the total goiter rate of children aged 8 ～ 10 years old in China was 5.0%, versus 4.0% acquried from B-Uhrasonography. 14 provinces, such as Beijing, Tianjin, Hebei, Shanxi, Liaoning, Jilin, Shanghai, Jiangsu, Anhui, Shandong, Henan, Guangxi, Guizhou and Ningxia, had total goiter rates under 5.0% using both methods. Two provinces, Gansu and Xinjiang, had a total goiter rate above 10.0%. Other provinces varied in the range of 5.0% - 10.0%. Conclusions A great progress of IDD prevention and control has been achieved in China in many provinces, but in such provinces as Gansu and Xinjiang where IDD is still prevailling, measures preventing IDD should be strengthened.

关 键 词：碘 缺乏症 儿童 甲状腺肿 结节性 结果评价 

分 类 号：R686[医药卫生—骨科学]